Active NPI
Georgette Marieatta Hamilton, LICSW, LCSW
- Clinical Social Worker
- Hyattsville, MD
National Provider Identifier
1699324558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080379
- Practice address
- 1425 University Blvd E
Hyattsville, MD 20783-4618 - Phone
- (301) 792-5071
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LCSW13765 | MD | |
| Clinical Social Worker | 1041C0700X | LC50080379 | DC | Primary |
Addresses
Primary practice location
1425 University Blvd E
Hyattsville, MD 20783-4618
Mailing address
4804 Willes Vision Dr
Bowie, MD 20720-4671
Phone (301) 792-5071
Other names 1
- Mrs. Joy Marieatta Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW13765 | MD | MD | Behavioral Analyst |
| LC50080379 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1699324558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 WILLES VISION DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204671",
"telephone_number": "301-792-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 UNIVERSITY BLVD E",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207834618",
"telephone_number": "301-792-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "GEORGETTE",
"middle_name": "MARIEATTA",
"credential": "LICSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LCSW13765",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "HAMILTON",
"middle_name": "MARIEATTA",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.